Professor1, Assistant professor2, Post-graduate3 Department of Medicine, Kamineni Institute of Medical Sciences, Narketpally.a
Evans syndrome is characterised by simultaneous or sequential development of autoimmune thrombocytopenia
and autoimmune hemolytic anemia in the presence or absence of a known underlying cause.1,2 Autoantibodies
against erythrocytes, platelets and neutrophils have been shown in Evans syndrome. Both the occurrence
of isolated episodes of thrombocytopenia and hemolytic anemia and the results of in vitro studies have
suggested the roles of non cross reacting autoantibodies targeted at different antigenic determinants on red
cells and platelets. Both cellular and humoral immune response abnormalities have been shown in evans
There have been a few case reports of Evans syndrome during pregnancy.3,4 we present a case of Evans syndrome during pregnancy.